Registration Form

Registration Form: Adult

Fill out the form carefully for registration
2022 New Adult Student Enrollment

New Students can enroll in classes year round and will be charged monthly regardless to the month with the exception of December. All students will be charged half price in the month of December. In order to guarantee sufficient student/teacher ratios, tuition is Due no later that the 10th day of the prior month. For a September start, tuition is Due August 10th. Tuition received after August 10th will be refunded or held for an October start date.

Makeup Classes: If you miss a class, you have 30 days to make up a class at another day or time.

Tuition: Student rate can be used for any adult registered at least half time in any school or community college.

Professional rate = $75 per month

Student rate = $55 per month
Contact Information

Please fill this form out carefully. Mistaken email addresses and phone numbers will result in miscommunication.
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address

Confirmation Emailexample@example.com
Mobile Number
Format: (000) 000-0000.

Medical History/Special Needs

Please take a moment to share any unique care health concerns that may be relevant while you are here at LeBossCoDance.
Do you have any pertinent medical history or allergies that LeBossCoDance Should be aware of?
(i.e., asthma, injuries, heart conditions, anaphylactic reactions, emotional/cognitive/physical disabilities)
Is there anything else you would like us to know about you?

Registration Form: Adult